MEDICARE: TANYA WESCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP.10813	OH

General Provider Information

NPI Number	:	1568632875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA WESCOTT

Provider Business Mailing Address
First Line	:	7091 TARRAGON CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-9163
Country	:	US
Telephone Number	:	513-444-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	7091 TARRAGON CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-9163
Country	:	US
Telephone Number	:	513-444-0770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	02/12/2026

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Directions to “ TANYA WESCOTT ” Practice Location

Language	Start Address	Practice Location

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